Individual provider Active NPI

Dana Jean Oates, O.D.

  • Optometrist
  • Kenton, OH
National Provider Identifier
1831281575
Registry record updated Jun 19, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
4451 Issued in OH
Practice address
315 N Detroit St
Kenton, OH 43326-1575
Phone
(419) 673-5201
Fax
(419) 673-8652
NPI assigned
Sep 29, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 4451 OH Primary

Addresses

Primary practice location

315 N Detroit St
Kenton, OH 43326-1575

Mailing address

315 N Detroit St
Kenton, OH 43326-1575
Phone (419) 673-5201

Other identifiers 2

IdentifierTypeStateIssuer
2241578MedicaidOH
341214040029OtherOHCARESOURCE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040428000244 OH Practitioner - Optometry 2567459944 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Ohio State University - College of Optometry, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kenton Family Eye Care, Inc.Group PAC ID 9739093758, 3 clinicians

Practice addresses (Care Compare)

315 N Detroit St
Kenton, OH 43326-1575
Phone (419) 673-5201

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4451OHMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Kenton Family Eye Care, Inc. Optometrist CurrentSince Apr 1, 2000 Accepting new patients

Locations

315 N Detroit St
Kenton, OH 43326
Phone (419) 673-5201

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1159488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1213833600000",
    "number": "1831281575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "315 N DETROIT ST",
            "city": "KENTON",
            "state": "OH",
            "postal_code": "433261575",
            "telephone_number": "419-673-5201",
            "fax_number": "419-673-8652"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 N DETROIT ST",
            "city": "KENTON",
            "state": "OH",
            "postal_code": "433261575",
            "telephone_number": "419-673-5201",
            "fax_number": "419-673-8652"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OATES",
        "first_name": "DANA",
        "middle_name": "JEAN",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-29",
        "last_updated": "2008-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "4451",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2241578",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CARESOURCE",
            "identifier": "341214040029",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kenton, OH

Sources for this page

Verify at the official NPI Registry.